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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 2451 - 25 November 2019 Posted By: Iskander H. Chaudhry

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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29 Female Left back punch biopsy. ?Indurated area and facial rash
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Go to records November 2019

User Feedback


vincenzo

Sclerodermoid changes and chronic vascular damage make me think of Dermatomyositis...( also! ).

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Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim 508

Posted

I think the last image is showing "The Line Sign" which favors morphea. The facial rash could be related to an associated connective tissue disease like dermatomysoistis as Vincenzo suggested or LE.

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Krishnakumar subramanian

Krishnakumar subramanian 0

Posted

looking at slides again, I see loss of peri eccrine adipose tissue, I do not see peri eccrine lypmphocytes

I see lot of mucin accumulation

most likely morphed but mucin accumulation-can be dermatomyositis/LE

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Victor Delgado

Victor Delgado 6

Posted

Tumid Lupus Erythematosus coexisting with Morphea. Overlap syndrome of connective tissue diseases.

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Anil Patki

Mixed connective tissue disorder - scleroderma + dermatomyositis is the commonest. 

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